Inspection Details

Facility ID: 11965386 | Generated: 2025-11-25

Survey DateInspection TypeTrack IDDeficiencyClassRequirement DescriptionCorrection DateRequirement Long Description
8/13/2025 12:00:00 AMStandardWSH8NoneNoneNoneNoneNone
6/9/2025 12:00:00 AMComplaintMP6CNoneNoneNoneNoneNone
8/16/2023 12:00:00 AMStandardXZZ9A0093UnclassifiedFOOD SERVICE - DIETARY STANDARDS10/20/2023
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2020-2025, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current table of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2019, which are incorporated by reference and available for ...
3/9/2023 12:00:00 AMExpansion4OOVNoneNoneNoneNoneNone
5/12/2022 12:00:00 AMComplaintZSKXA0165Class 3RISK MGMT & QA03/08/2023
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
8/30/2021 12:00:00 AMComplaintKVPWA00252RESIDENT CARE - SUPERVISION10/27/2021
429.26 (7) The facility shall notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment or has a change of condition in order to rule out the presence of an underlying physiological condition that may be contributing to such dementia or impairment. The notification must occur within 30 days after the acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility must notify the resident ' s representative o...
7/27/2021 12:00:00 AMStandardWNUNA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN10/19/2021
429.256 (3) Assistance with self-administration of medication includes: (a) Taking the medication, in its previously dispensed, properly labeled container, including an insulin syringe that is prefilled with the proper dosage by a pharmacist and an insulin pen that is prefilled by the manufacturer, from where it is stored, and bringing it to the resident. (b) In the presence of the resident, confirming that the medication is intended for that resident, orally advising the resident of the medicat...
3/10/2021 12:00:00 AMStandardM3GONoneNoneNoneNoneNone
4/29/2020 12:00:00 AM-I92INoneNoneNoneNoneNone
6/20/2019 12:00:00 AMExpansionOWL2NoneNoneNoneNoneNone
10/18/2018 12:00:00 AMStandardQ069NoneNoneNoneNoneNone
12/12/2017 12:00:00 AMMonitorVFVPNoneNoneNoneNoneNone
8/17/2017 12:00:00 AMComplaintXD8KA0010Class 3ADMISSIONS - CONTINUED RESIDENCY11/15/2017
429.26 (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad...
8/17/2017 12:00:00 AMComplaintXD8KA0025Class 3RESIDENT CARE - SUPERVISION11/15/2017
429.26 (7) The facility must notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment or has a change of condition in order to rule out the presence of an underlying physiological condition that may be contributing to such dementia or impairment. The notification must occur within 30 days after the acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility shall arrange, with the appropriate health care pr...
8/17/2017 12:00:00 AMComplaintXD8KA0162Class 4RECORDS - RESIDENT11/15/2017
(3) RESIDENT RECORDS. Resident records must be maintained on the premises and include: (a) Resident demographic data as follows: 1. Name; 2. Sex; 3. Race; 4. Date of birth; 5. Place of birth, if known; 6. Social security number; 7. Medicaid and/or Medicare number, or name of other health insurance carrier; 8. Name, address, and telephone number of next of kin, legal representative, or individual designated by the resident for notification in case of an emergency; and 9. Name, address, and teleph...
6/27/2017 12:00:00 AMComplaint2D4UNoneNoneNoneNoneNone
6/27/2017 12:00:00 AMExpansionFMDWNoneNoneNoneNoneNone
5/22/2017 12:00:00 AMComplaintWB26NoneNoneNoneNoneNone
4/25/2017 12:00:00 AMComplaintD0Y7NoneNoneNoneNoneNone
4/25/2017 12:00:00 AMChange of OwnershipNR2KA0030Class 3RESIDENT CARE - RIGHTS & FACILITY PROCEDURES06/02/2017
58A-5.0182(6) RESIDENT RIGHTS AND FACILITY PROCEDURES. (a) A copy of the Resident Bill of Rights as described in Section 429.28, F.S., or a summary provided by the Long-Term Care Ombudsman Program must be posted in full view in a freely accessible resident area, and included in the admission package provided pursuant to Rule 58A-5.0181, F.A.C. (b) In accordance with Section 429.28, F.S., the facility must have a written grievance procedure for receiving and responding to resident complaints, and...
4/25/2017 12:00:00 AMChange of OwnershipNR2KA0057Class 3MEDICATION - OVER THE COUNTER (OTC) PRODUCTS06/02/2017
(8) OVER THE COUNTER (OTC) PRODUCTS. For purposes of this subsection, the term over the counter includes, but is not limited to, over the counter medications, vitamins, nutritional supplements and nutraceuticals, hereafter referred to as OTC products, that can be sold without a prescription. (a) A stock supply of OTC products for multiple resident use is not permitted in any facility. (b) OTC products, including those prescribed by a health care provider, must be labeled with the resident '...
8/18/2016 12:00:00 AMStandardSFZ0A0010Class 3ADMISSIONS - CONTINUED RESIDENCY10/17/2016
429.26 (1) The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. A determination shall be based upon an assessment of the strengths, needs, and preferences of the resident, the care and services offered or arranged for by the facility in accordance with facility policy, and any limitations in law or rule related to ad...
8/18/2016 12:00:00 AMStandardSFZ0A0025Class 3RESIDENT CARE - SUPERVISION10/17/2016
429.26 (7) The facility must notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment or has a change of condition in order to rule out the presence of an underlying physiological condition that may be contributing to such dementia or impairment. The notification must occur within 30 days after the acknowledgment of such signs by facility staff. If an underlying condition is determined to exist, the facility shall arrange, with the appropriate health care pr...
8/18/2016 12:00:00 AMStandardSFZ0A0091Class 3TRAINING - DOCUMENTATION & MONITORING10/17/2016
(12) TRAINING DOCUMENTATION AND MONITORING. (a) Except as otherwise noted, certificates, or copies of certificates, of any training required by this rule must be documented in the facility ' s personnel files. The documentation must include the following: 1. The title of the training program; 2. The subject matter of the training program; 3. The training program agenda; 4. The number of hours of the training program; 5. The trainee ' s name, dates of participation, and location of the ...
8/18/2016 12:00:00 AMStandardSFZ0A0165Class 3RISK MGMT & QA; ADVERSE INCIDENT REPORT10/17/2016
429.23 Internal risk management and quality assurance program; adverse incidents and reporting requirements.- (1) Every facility licensed under this part may, as part of its administrative functions, voluntarily establish a risk management and quality assurance program, the purpose of which is to assess resident care practices, facility incident reports, deficiencies cited by the agency, adverse incident reports, and resident grievances and develop plans of action to correct and respond quickly ...
3/18/2016 12:00:00 AMComplaintYCDPNoneNoneNoneNoneNone
5/28/2014 12:00:00 AMStandard2WLDA0052Class 3MEDICATION - ASSISTANCE WITH SELF-ADMIN07/15/2014
(3) ASSISTANCE WITH SELF-ADMINISTRATION. (a) Any unlicensed person providing assistance with self administration of medication must be 18 years of age or older, trained to assist with self administered medication pursuant to the training requirements of Rule 58A-5.0191, F.A.C., and must be available to assist residents with self-administered medications in accordance with procedures described in Section 429.256, F.S., and this rule. (b) In addition to the specifications of Section 429.256(3), F....
5/28/2014 12:00:00 AMStandard2WLDA0093Class 3FOOD SERVICE - DIETARY STANDARDS07/15/2014
(2) DIETARY STANDARDS. (a) The meals provided by the assisted living facility must be planned based on the current USDA Dietary Guidelines for Americans, 2010, which are incorporated by reference and available for review at: http://www.flrules.org/Gateway/reference.asp?No=Ref-04003, and the current summary of Dietary Reference Intakes established by the Food and Nutrition Board of the Institute of Medicine of the National Academies, 2010, which are incorporated by reference and available for rev...
10/23/2013 12:00:00 AMComplaintAP7ZNoneNoneNoneNoneNone
6/4/2013 12:00:00 AMComplaintOR2XAZ827Class 4UNLICENSED ACTIVITY10/15/2013
(1) A person or entity may not offer or advertise services that require licensure as defined by this part, authorizing statutes, or applicable rules to the public without obtaining a valid license from the agency. A licenseholder may not advertise or hold out to the public that he or she holds a license for other than that for which he or she actually holds the license. (2) The operation or maintenance of an unlicensed provider or the performance of any services that require licensure without p...
10/3/2012 12:00:00 AMComplaintP8CVA0152Class 3PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER06/04/2013
(3) OTHER REQUIREMENTS. (a) All facilities must: 1. Provide a safe living environment pursuant to Section 429.28(1)(a), F.S.; and 2. Must be maintained free of hazards; and 3. Must ensure that all existing architectural, mechanical, electrical and structural systems and appurtenances are maintained in good working order. (b) Pursuant to Section 429.27, F.S., residents shall be given the option of using their own belongings as space permits. When the facility supplies the furnishings, each reside...